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NPI 1649356015

NPI 1649356015 : KARI ANNE WOOD PTA : PLATTSBURGH, NY

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General NPI Number Information
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    NPI Number           |    1649356015
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    Entity Type          |    Individual 
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    Provider Name        |    KARI ANNE WOOD PTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/28/2006
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    Last Update Date     |    08/23/2013
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Provider Practice Location Address
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    Address Line         |    39 COURT ST. 
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    City                 |    PLATTSBURGH
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    State                |    NY
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    Zip                  |    12901
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    Country              |    US
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    Telephone            |    518-563-0267
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    Fax                  |    518-563-1633
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Provider Business Mailing Address
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    Address Line         |    39 COURT ST 
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    City                 |    PLATTSBURGH
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    State                |    NY
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    Zip                  |    12901
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    Country              |    US
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    Telephone            |    518-563-0267
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    Fax                  |    518-563-1633
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    002910
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    License Number State |    NY
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